School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents
Adolescents Committed to Improvement of Nutrition and Physical Activity (ACTION) was undertaken to determine feasibility of a school-based health center (SBHC) weight management program. Two urban New Mexico SBHCs were randomized to deliver ACTION or standard care. ACTION consisted of eight visits...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Journal of Obesity |
| Online Access: | http://dx.doi.org/10.1155/2013/575016 |
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| _version_ | 1832566761305669632 |
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| author | Alberta S. Kong Andrew L. Sussman Carolina Yahne Betty J. Skipper Mark R. Burge Sally M. Davis |
| author_facet | Alberta S. Kong Andrew L. Sussman Carolina Yahne Betty J. Skipper Mark R. Burge Sally M. Davis |
| author_sort | Alberta S. Kong |
| collection | DOAJ |
| description | Adolescents Committed to Improvement of Nutrition and Physical Activity (ACTION) was undertaken to determine feasibility of a school-based health center (SBHC) weight management program. Two urban New Mexico SBHCs were randomized to deliver ACTION or standard care. ACTION consisted of eight visits using motivational interviewing to improve eating and physical activity behavior. An educational nutrition and physical activity DVD for students and a clinician toolkit were created for use as menu of options. Standard care consisted of one visit with the SBHC provider who prescribed recommendations for healthy weight. Sixty nondiabetic overweight/obese adolescents were enrolled. Measures included BMI percentile, waist circumference, insulin resistance by homeostasis model assessment (HOMA-IR), blood pressure, triglycerides, and HDL-C levels. Pre- to postchanges for participants were compared between groups. Fifty-one students (mean age 15 years, 62% female, 75% Hispanic) completed pre- and postmeasures. ACTION students (n=28) had improvements in BMI percentile (P=0.04) and waist circumference (P=0.04) as compared with students receiving standard care (n=23). No differences were found between the two groups in blood pressure, HOMA-IR, triglycerides, and HDL-C. The ACTION SBHC weight management program was feasible and demonstrated improved outcomes in BMI percentile and waist circumference. |
| format | Article |
| id | doaj-art-63854a7f2a4e4c27b69fccb4bbe15962 |
| institution | Kabale University |
| issn | 2090-0708 2090-0716 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Obesity |
| spelling | doaj-art-63854a7f2a4e4c27b69fccb4bbe159622025-02-03T01:03:17ZengWileyJournal of Obesity2090-07082090-07162013-01-01201310.1155/2013/575016575016School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese AdolescentsAlberta S. Kong0Andrew L. Sussman1Carolina Yahne2Betty J. Skipper3Mark R. Burge4Sally M. Davis5Department of Pediatrics, University of New Mexico, Albuquerque, NM 87131-0001, USADepartment of Family and Community Medicine, University of New Mexico, Albuquerque, NM 87131-0001, USADepartment of Psychology, University of New Mexico, Albuquerque, NM 87131-0001, USADepartment of Family and Community Medicine, University of New Mexico, Albuquerque, NM 87131-0001, USADepartment of Internal Medicine, University of New Mexico, Albuquerque, NM 87131-0001, USADepartment of Pediatrics, University of New Mexico, Albuquerque, NM 87131-0001, USAAdolescents Committed to Improvement of Nutrition and Physical Activity (ACTION) was undertaken to determine feasibility of a school-based health center (SBHC) weight management program. Two urban New Mexico SBHCs were randomized to deliver ACTION or standard care. ACTION consisted of eight visits using motivational interviewing to improve eating and physical activity behavior. An educational nutrition and physical activity DVD for students and a clinician toolkit were created for use as menu of options. Standard care consisted of one visit with the SBHC provider who prescribed recommendations for healthy weight. Sixty nondiabetic overweight/obese adolescents were enrolled. Measures included BMI percentile, waist circumference, insulin resistance by homeostasis model assessment (HOMA-IR), blood pressure, triglycerides, and HDL-C levels. Pre- to postchanges for participants were compared between groups. Fifty-one students (mean age 15 years, 62% female, 75% Hispanic) completed pre- and postmeasures. ACTION students (n=28) had improvements in BMI percentile (P=0.04) and waist circumference (P=0.04) as compared with students receiving standard care (n=23). No differences were found between the two groups in blood pressure, HOMA-IR, triglycerides, and HDL-C. The ACTION SBHC weight management program was feasible and demonstrated improved outcomes in BMI percentile and waist circumference.http://dx.doi.org/10.1155/2013/575016 |
| spellingShingle | Alberta S. Kong Andrew L. Sussman Carolina Yahne Betty J. Skipper Mark R. Burge Sally M. Davis School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents Journal of Obesity |
| title | School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents |
| title_full | School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents |
| title_fullStr | School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents |
| title_full_unstemmed | School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents |
| title_short | School-Based Health Center Intervention Improves Body Mass Index in Overweight and Obese Adolescents |
| title_sort | school based health center intervention improves body mass index in overweight and obese adolescents |
| url | http://dx.doi.org/10.1155/2013/575016 |
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